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ameson WS.

Various clinical situations and their influence on line Keloids form as a result of aberrations of physiologic wound healing anDental

caries

Caries may affect a bridge in several ways, either directly at the margins of the retainer, or indirectly by starting elsewhere on the tooth and spreading to the fit surfaces of the casting or it may follow cementation failure. Detection:

Visual inspection (Discoloration around margins) Probing margins of restorations with a sharp explorer Radiographs for interproximal caries Causes: Defective margins (supragingival preferred over subgingival) Loose retainers that allow gross leakage to occur Incomplete removal of caries prior to restoration Poor design leading to food accumulation Change in the diet of patient

Prevention:

Meticulous oral hygiene must be a routine procedure for patients with a high

caries index and particularly for those who have a history of developing carious lesions around restorations.

Fluoride containing dentifrices and mouthwashes.

Pulp Degeneration: Clinical features: - Postinsertion pulpal sensitivity in the abutment teeth that does not subside with time; intense pain or periapical abnormality that are detected radiographically.

Causes: Excess heat generation during prepa


wound healing anDental ameson WS. Various clinical

situations and their influence on line Keloids form as a result of aberrations of physiologic

caries

Caries may affect a bridge in several ways, either directly at the margins of the retainer, or indirectly by starting elsewhere on the tooth and spreading to the fit surfaces of the casting or it may follow cementation failure. Detection:

Visual inspection (Discoloration around margins) Probing margins of restorations with a sharp explorer Radiographs for interproximal caries Causes: Defective margins (supragingival preferred over subgingival) Loose retainers that allow gross leakage to occur Incomplete removal of caries prior to restoration Poor design leading to food accumulation Change in the diet of patient

Prevention:

Meticulous oral hygiene must be a routine procedure for patients with a high

caries index and particularly for those who have a history of developing carious lesions around restorations.

Fluoride containing dentifrices and mouthwashes.

Pulp Degeneration: Clinical features: - Postinsertion pulpal sensitivity in the abutment teeth that does not subside with time; intense pain or periapical abnormality that are detected radiographically.

Causes:

Excess heat generation during preparation Excess tooth reduction Pin point exposure which may go unnoticed Occlusal trauma Cement involved

Prevention: - Use of varnish or dentind may arise


following any insult to the deep dermis. By causing pain, pruritus, and contractures, keloids significantly affect the patients quality of life, both physically and psycholog -ically. Multiple studies have been conducted for decades and have led to a plethora of therapeutic strategies to prevent or attenuate keloid formation, of which no single treatment has proven to be widely effective. Also, there is a dearth of information in the prosthodontic literature regarding appropriate management of such cases, especially when located in cosmetic areas. This clinical report presents an interdisciplinary coop-erative approach between maxillofacial prosthetics and dermatology in prophylactic management of postsurgical auricular keloid. A new and an innovatively designed custom prosthesis for the management of the same is presented. Any insult to the deep dermis elicits an immediate initiation of repair processes, aberration of which could impair wound heal-ing drastically, resulting in two pathological extremes: chronic

wounds and keloids. 1,2Estimated to occur among 15% to 20% of Blacks, Hispanics, and Asians, 1 keloids are characterized by multiple, painful scars.1,3-8 Locations such as anterior chest and upper arms have a higher predilection for keloid formation. 1,8 An ear keloid is distinctive because of its cosmetic complica-tions and difficult mode of treatment. A variety of pressure devices and procedures have been de-veloped 9,10 in the form of clips, buttons, and earrings. 11-14 How-ever, most of them are designed for the earlobe region, whereas others are bulky and have poor patient compliance. 11 Clinical report A 42-year-old male patient was referred by the department of dermatology for the construction of a custom-made pressure device to prevent recurrence of bilateral post auricular keloid secondary to surgical excision. It was located bilaterally, poste-rior to the respective helices extending from the superior aspect terminating just beneath the earlobe (Fig 1). The patient was also put on adjuvant therapy, which included regular intralesional corticosteroid injections and silicone gel

sheeting for prophylaxis. In view of the rarity of such cases reported, a custom-made prosthesis was designed with a novel approach for both the right and left anatomic locations. The treatment sequence was divided into two parts: impression making of the surgically treated ear followed by the labora-tory procedure involved in the construction of the prosthesis. Impression making 1. The area was isolated with gauze pads, and a lubricated cotton pellet was placed in the external auditory meatus (Fig 2). 2. Irreversible hydrocolloid (Zelgan Plus TM , Dentsply India Pvt Ltd, Gurgaon, India) was manipulated using 50% more water than indicated in the manufacturers instructions. Some of the hydrocolloid was loaded in a disposable sy-ringe and the material injected from the folds or undercuts to the external regions of the ear (Fig 3A). Additional ma-terial was then added with a spatula. Boxing wax or an old unexposed panoramic film adequately secured to the adjacent soft tissues can be used to hold the impression in place during maturation. 3. After partial set of the impression, paperclips were inserted into it and acted as retentive tags. Then, fast-setting type II dental plaster was poured over the impression material to cover it completely (Fig 3B). 4. The impression was removed and carefully examined to check for any faults and inadequacies.

5. Subsequently, the impression was poured with improved stone and allowed to set (Fig 4). 6. The aforementioned procedure was repeated for the con-tralateral ear and master cast obtained. Journal of Prosthodontics22(2013) 8184 c 2012 by the American College of Prosthodontists 81 Prosthetic Device in the Prophylaxis of Post-Auricular Keloid Singhet al Figure 1Post-auricular region with excised area covered by silicone-gel sheet. Laboratory procedure 1. Master casts were trimmed to shape, and the area was outlined on both casts. 2. A wax pattern of the prosthesis was fabricated using mod-eling wax, and orthodonticwire was used to connect the earplug with the remainder of the prosthesis (Fig 5). 3. Wax patterns for the right and left side were invested sepa-rately, and a conventional compression molding procedure using thermal-polymerized acrylic resin was followed. Figure 2Right auricular region isolated with sterile gauze pads. 4. The processed prosthesis was retrieved, finished, and pol-ished and delivered to the patient (Fig 6). Discussion First described in the Smith papyrus about 1700 BC, excessive scarring was differentiated into hypertrophic and keloid scar many years later by Mancini and Quaife15 and Peacock et al. 16 Hypertrophic scarring usually occurs within 4 to 8 weeks fol-lowing wound infection, wound closure with excess tension, or

other traumatic skin injury. It has a rapid growth phase for up to 6 months, and then gradually regresses over a period of a few years, eventually leading to asymptomatic flat scars. 2 Keloids, on the other hand, are indefinitely progressing scars with equal sex predilection and highest incidence in the second to third decade of life. The resulting disfigurement not only becomes a cosmetic nuisance, but also results in a significant burden for the patient. 1,3,4,17,18 An earlobe keloid presents a technically challenging task to the most experienced clinician. Although related primarily to earlobe piercing and trauma from contact sports, 11 the patient in this report was referred for the fabrication of a custom prosthesis to prevent recurrence after surgical excision of bilateral post auricular keloids. Manage-ment of earlobe keloids primarily falls into two categories: treatment of the overgrowth and prophylactic management to prevent recurrence. Superficial x-raysar occlusion in treating combination syndrome: A discussion of treatment options. Gen Dent 2003; 51: 443-447 - See more at: http://www.dentaltown.com/dentaltown/article.aspx?aid=3087#sthash.BwsFahaq.dpuf

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other

forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading. The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often u ameson WS. Various
clinical situations and their influence on linear occlusion in treating combination syndrome: A discussion of treatment options. Gen Dent 2003; 51: 443-447 - See more at: http://www.dentaltown.com/dentaltown/article.aspx?aid=3087#sthash.BwsFahaq.dpuf

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal

muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading. The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory

system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships,

passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

Occlusal Splints also function diagnostically as an indirect method of altering occlusion.These appliances provide the practitioner with a non-invasive, reversible form of intervention to manage the patient's symptoms. The aim of this table clinic is to provide an insight and detail information regarding the various types of occlusal splints, their fabrication , their rational, and functions. sed in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in

the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting

against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory

system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships,

passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

Occlusal Splints also function diagnostically as an indirect method of altering occlusion.These appliances provide the practitioner with a non-invasive, reversible form of intervention to manage the patient's symptoms. The aim of this table clinic is to provide an insight and detail information regarding the various types of occlusal splints, their fabrication , their rational, and functions.

ration Excess tooth reduction Pin point exposure which may go unnoticed Occlusal trauma Cement involved

Prevention: - Use of varnish or dentind may arise


following any insult to the deep dermis. By causing pain, pruritus, and contractures, keloids significantly affect the patients quality of life, both physically and psycholog-ically. Multiple studies have been conducted for decades and have led to a plethora of therapeutic strategies to prevent or attenuate keloid formation, of which no single treatment has proven to be widely effective. Also, there is a dearth of information in the prosthodontic literature regarding appropriate management of such cases, especially when located in cosmetic areas. This clinical report presents an interdisciplinary coop-erative approach between maxillofacial prosthetics and dermatology in prophylactic management of postsurgical auricular keloid. A new and an innovatively designed custom prosthesis for the management of the same is presented. Any insult to the deep dermis elicits an immediate initiation of repair processes, aberration of which could impair wound heal-ing drastically, resulting in two pathological extremes: chronic wounds and keloids. 1,2Estimated to occur among 15% to 20% of Blacks, Hispanics, and Asians,

1 keloids are characterized by multiple, painful scars.1,3-8 Locations such as anterior chest and upper arms have a higher predilection for keloid formation. 1,8 An ear keloid is distinctive because of its cosmetic complica-tions and difficult mode of treatment. A variety of pressure devices and procedures have been de-veloped 9,10 in the form of clips, buttons, and earrings. 11-14 How-ever, most of them are designed for the earlobe region, whereas others are bulky and have poor patient compliance. 11 Clinical report A 42-year-old male patient was referred by the department of dermatology for the construction of a custom-made pressure device to prevent recurrence of bilateral post auricular keloid secondary to surgical excision. It was located bilaterally, poste-rior to the respective helices extending from the superior aspect terminating just beneath the earlobe (Fig 1). The patient was also put on adjuvant therapy, which included regular intralesional corticosteroid injections and silicone gel sheeting for prophylaxis. In view of the rarity of such cases reported, a custom-made prosthesis was designed with a novel approach for both the right and left anatomic locations. The

treatment sequence was divided into two parts: impression making of the surgically treated ear followed by the labora-tory procedure involved in the construction of the prosthesis. Impression making 1. The area was isolated with gauze pads, and a lubricated cotton pellet was placed in the external auditory meatus (Fig 2). 2. Irreversible hydrocolloid (Zelgan Plus TM , Dentsply India Pvt Ltd, Gurgaon, India) was manipulated using 50% more water than indicated in the manufacturers instructions. Some of the hydrocolloid was loaded in a disposable sy-ringe and the material injected from the folds or undercuts to the external regions of the ear (Fig 3A). Additional ma-terial was then added with a spatula. Boxing wax or an old unexposed panoramic film adequately secured to the adjacent soft tissues can be used to hold the impression in place during maturation. 3. After partial set of the impression, paperclips were inserted into it and acted as retentive tags. Then, fast-setting type II dental plaster was poured over the impression material to cover it completely (Fig 3B). 4. The impression was removed and carefully examined to check for any faults and inadequacies. 5. Subsequently, the impression was poured with improved stone and allowed to set (Fig 4).

6. The aforementioned procedure was repeated for the con-tralateral ear and master cast obtained. Journal of Prosthodontics22(2013) 8184 c 2012 by the American College of Prosthodontists 81 Prosthetic Device in the Prophylaxis of Post-Auricular Keloid Singhet al Figure 1Post-auricular region with excised area covered by silicone-gel sheet. Laboratory procedure 1. Master casts were trimmed to shape, and the area was outlined on both casts. 2. A wax pattern of the prosthesis was fabricated using mod-eling wax, and orthodonticwire was used to connect the earplug with the remainder of the prosthesis (Fig 5). 3. Wax patterns for the right and left side were invested sepa-rately, and a conventional compression molding procedure using thermal-polymerized acrylic resin was followed. Figure 2Right auricular region isolated with sterile gauze pads. 4. The processed prosthesis was retrieved, finished, and pol-ished and delivered to the patient (Fig 6). Discussion First described in the Smith papyrus about 1700 BC, excessive scarring was differentiated into hypertrophic and keloid scar many years later by Mancini and Quaife15 and Peacock et al. 16 Hypertrophic scarring usually occurs within 4 to 8 weeks fol-lowing wound infection, wound closure with excess tension, or other traumatic skin injury. It has a rapid growth phase for up to 6 months, and then gradually regresses over a period of a few

years, eventually leading to asymptomatic flat scars. 2 Keloids, on the other hand, are indefinitely progressing scars with equal sex predilection and highest incidence in the second to third decade of life. The resulting disfigurement not only becomes a cosmetic nuisance, but also results in a significant burden for the patient. 1,3,4,17,18 An earlobe keloid presents a technically challenging task to the most experienced clinician. Although related primarily to earlobe piercing and trauma from contact sports, 11 the patient in this report was referred for the fabrication of a custom prosthesis to prevent recurrence after surgical excision of bilateral post auricular keloids. Manage-ment of earlobe keloids primarily falls into two categories: treatment of the overgrowth and prophylactic management to prevent recurrence. Superficial x-raysar occlusion in treating combination syndrome: A discussion of treatment options. Gen Dent 2003; 51: 443-447 - See more at: http://www.dentaltown.com/dentaltown/article.aspx?aid=3087#sthash.BwsFahaq.dpuf

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and

joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading. The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the

diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes

elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often u ameson WS. Various
clinical situations and their influence on linear occlusion in treating combination syndrome: A discussion of treatment options. Gen Dent 2003; 51: 443-447 - See more at: http://www.dentaltown.com/dentaltown/article.aspx?aid=3087#sthash.BwsFahaq.dpuf

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

Occlusal Splints also function diagnostically as an indirect method of altering occlusion.These appliances provide the practitioner with a non-invasive, reversible form of intervention to manage the patient's symptoms. The aim of this table clinic is to provide an insight and detail information regarding the various types of occlusal splints, their fabrication , their rational, and functions. sed in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in

the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting

against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory

system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships,

passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of

treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity,

decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

The diagonosis and treatment of patients with temperomandibular disorders is often a challenge for the prosthodontists. Occlusal splints are often used for the diagnosis and treatment of pain and dysfunction related to the masticatory system.Occlusal splint appliances are often used in conjunction with other forms of treatment such as physiotherapy or medication in treatment of TMJ disorders. The objectives of occlusal splint use in the treatment of TMJ disorders includes elimination of occlusal interferences, stabilizing tooth and joint relationships, passive stretching of the musculature to reduce abnormal muscle activity, decreasing parafunctional habits, protecting against tooth abrasion and decreasing joint loading.

Occlusal Splints also function diagnostically as an indirect method of altering occlusion.These appliances provide the practitioner with a non-invasive, reversible form of intervention to manage the patient's symptoms. The aim of this table clinic is to provide an insight and detail information regarding the various types of occlusal splints, their fabrication , their rational, and functions.